Occupancy rate
100%
In line with Nebraska averageMix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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Assisted Living in Nebraska
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Gold Crest Retirement Center
Assisted Living in Nebraska
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Gold Crest Retirement Center
Gold Crest Retirement Center is a senior living community located in Adams, Nebraska. It offers a range of services including short-term rehabilitation, long-term care, memory care, assisted living, childcare, and therapy. The center is committed to providing a stable and caring environment for its residents.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
35
This home is often near full
That suggests steady demand, but availability may be limited.
Occupancy rate
100%
Residents per day (avg)
37
Occupancy rate
100%
Residents per day (avg)
37
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
42% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
49% of new residents, often for short stays.
Typical stay
1 years
Medicaid
9% of new residents, often for long-term daily care.
Typical stay
4 - 5 years
Finances and operations
Voluntary non-profit community
Home revenue
$6.1M
Surplus of revenue
$47.6K
Voluntary non-profit community
Home revenue
$6,149,171.00
Surplus of revenue
$47,599.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.1M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$6.1M
35-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Occupancy
In line with Nebraska averageOccupied beds
35 / 35
Average residents
54 per day
Facility TypeAssisted Living Facilities
StatusActive
CountyGAGE
License NumberALF066
CMS Certification Number285065
Gold Crest Retirement Center is administrated by Jennifer Graff, Administrator.
Owner NameCOFFMAN-LEVI CHARITABLE TRUST, INC
Accept Medicare
Rehabilitation Services
Respite Care
Short-Term Rehab
Nursing Services
Skilled Nursing
Licensed Nurses/CNAs
Short Term Rehabilitation
Long Term Care
Fax(402) 988-2087
Specific ProgramsShort Term Rehabilitation, Long Term Care, Memory Care, Assisted Living, Childcare, Therapy, Other Services
Volunteer ProgramsYes
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicare Accepted
This facility is certified for eligible Medicare services.
Inspection History
In Nebraska, the Department of Health and Human Services, Division of Public Health conducts regular inspections to ensure nursing and assisted living facilities meet state and federal standards.
22 visits/inspections
7 visits/inspections triggered by complaints
4 routine inspections
2 life safety inspections
Results
14 with issues
8 without issues
Show Inspection Reports
Latest inspection
Date
March 25, 2025
Renewal87 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Nebraska average: 52 deficiencies
Health Inspection History
Inspections
Total health inspections
4
State average 4.3
Last Health inspection on Mar 2025
Total health citations
12
State average 18.2
Citations per inspection
3
State average 4.19
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
11 of 12 citations resulted from standard inspections; and 1 of 12 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than State averageState average: 0.2
Serious Health citations
0
0
100% better than State averageState average: 0.5
0 critical citations
0 serious citations
12 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Mar 12, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Mar 12, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Mar 12, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Mar 12, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Mar 12, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Mar 12, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 02, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 02, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Assisted Living around Nebraska The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
Filter by care type
Cedarhurst of La Vista
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
LA VISTA
156
No
-
-
23.1%
Christian Koenig, Administrator
-
0
0
0
Gold Crest Retirement Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
ADAMS
52
No
-
-
100.0%
Jennifer Graff, Administrator
-
7
14
87
Bailey Pointe Assisted Living at Plattsmouth
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Plattsmouth
45
Yes
43
-
86.7%
Kim Cundall
Well Nebraska Tenant Llc
4
3
7
Beaver City Manor
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Beaver City
30
No
35
Medicaid and Medicare (30)
66.7%
Angela Woodring
City Of Beaver City
6
11
126
Carl T Curtis Health Education Center Nursing Home
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Macy
-
No
12
-
-
-
-
0
0
0
Places of interest near Gold Crest Retirement Center
0.0 miles from city center
200 LEVI LANE, ADAMS, NE 68301
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
106
Employees
74
Contractors
32
Staff to resident ratio
2.59:1
20% better than Nebraska averageNebraska average ratio: 2.15:1
Avg staff/day
22
Average shift
7.6 hours
0% compared with Nebraska averageNebraska average: 7.8 hours
Total staff hours (quarter)
15,242
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
5
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
59
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
15.3%
2,338 contractor hours this quarter
Certified Nursing Assistant: 26
Licensed Practical Nurse: 3
Occupational Therapy Aide: 1
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 33 | 26 | 59 | 6,420 | 91 | 100% | 7.6 |
| Medication Aide/Technician | 20 | 0 | 20 | 1,652 | 91 | 100% | 7.2 |
| Licensed Practical Nurse | 2 | 3 | 5 | 1,580 | 85 | 93% | 8.8 |
| Registered Nurse | 8 | 0 | 8 | 1,561 | 91 | 100% | 8.2 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,136 | 77 | 85% | 6.8 |
| Administrator | 2 | 0 | 2 | 968 | 65 | 71% | 7.5 |
| Mental Health Service Worker | 2 | 0 | 2 | 573 | 65 | 71% | 6.1 |
| Dietitian | 1 | 0 | 1 | 469 | 60 | 66% | 7.8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 451 | 59 | 65% | 7.6 |
| Nurse Practitioner | 1 | 0 | 1 | 369 | 49 | 54% | 7.5 |
| Occupational Therapy Aide | 0 | 1 | 1 | 44 | 27 | 30% | 1.6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 18 | 3 | 3% | 6 |
| Medical Director | 0 | 1 | 1 | 3 | 3 | 3% | 1 |
59 Certified Nursing Assistant
% of Days
100%
20 Medication Aide/Technician
% of Days
100%
5 Licensed Practical Nurse
% of Days
93%
8 Registered Nurse
% of Days
100%
4 Other Dietary Services Staff
% of Days
85%
2 Administrator
% of Days
71%
2 Mental Health Service Worker
% of Days
71%
1 Dietitian
% of Days
66%
1 Clinical Nurse Specialist
% of Days
65%
1 Nurse Practitioner
% of Days
54%
1 Occupational Therapy Aide
% of Days
30%
1 Occupational Therapy Assistant
% of Days
3%
1 Medical Director
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
41 residents
Residents by payment source
Medicare
4 residents (9.8%)
Medicaid
18 residents (43.9%)
Private pay or other
19 residents (46.3%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.9
5% worse than Nebraska averageNebraska average: 11.3
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.8
10% worse than Nebraska averageNebraska average: 23.3
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
16.8%
Percent of long-stay residents whose need for help with daily activities has increased
16.8%
19% better than Nebraska averageNebraska average: 20.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
25.3%
Percent of long-stay residents whose ability to move independently worsened
25.3%
14% worse than Nebraska averageNebraska average: 22.1%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
35.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
35.1%
31% worse than Nebraska averageNebraska average: 26.9%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
7.1%
Percent of long-stay residents experiencing one or more falls with major injury
7.1%
57% worse than Nebraska averageNebraska average: 4.5%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.2%
Percent of long-stay high risk residents with pressure ulcers
3.2%
27% better than Nebraska averageNebraska average: 4.3%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
7.2%
Percent of long-stay residents with a urinary tract infection
7.2%
134% worse than Nebraska averageNebraska average: 3.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.2%
Percent of long-stay residents who lose too much weight
7.2%
33% worse than Nebraska averageNebraska average: 5.4%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
5.4%
Percent of long-stay residents who have depressive symptoms
5.4%
23% worse than Nebraska averageNebraska average: 4.4%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
25.7%
Percent of long-stay residents who received an antipsychotic medication
25.7%
29% worse than Nebraska averageNebraska average: 19.8%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
84.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
84.6%
9% worse than Nebraska averageNebraska average: 93.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.0%
In line with Nebraska averageNebraska average: 96.1%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
74.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
74.6%
8% worse than Nebraska averageNebraska average: 80.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Nebraska averageNebraska average: 2.4%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Gold Crest Retirement Center based on CMS SNF Cost Reports.
Occupancy Rate
81.4%
↑ 8.5pp vs 2023
Net Income
$47,599
↓ ~$186K vs 2023
Total Payroll
$3,470,757
↑ ~$282K vs 2023
Profit Margin
0.9%
↓ 4.1pp vs 2023
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Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
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The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Financial Aid for Nebraska Seniors
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